| NPI | 1326281056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 66495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 57596) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2022-10-25 |